Krutikov, Maria;
Price, James R;
Fry, Zoe;
Longstaff, Victoria;
Meacock, Kate;
Stephenson, Cherry;
O'Reilly, Kathleen;
... Shallcross, Laura; + view all
(2025)
The Hidden Iceberg: Can Wastewater Transform Infection Surveillance and Prevention in Care Homes?
Journal of Hospital Infection
10.1016/j.jhin.2025.09.022.
(In press).
![[thumbnail of 1-s2.0-S0195670125003160-main.pdf]](https://discovery.ucl.ac.uk/style/images/fileicons/text.png) |
Text
1-s2.0-S0195670125003160-main.pdf - Accepted Version Access restricted to UCL open access staff until 25 October 2026. Download (794kB) |
Abstract
By 2050, one-quarter of the UK population will be older than 65[1]; requiring 350,000 additional care home (CH) beds[2]. CH residents are extremely vulnerable to infections that spread rapidly through shared environments and frequent contact with staff and other residents. Severe infection outcomes occur more frequently; early in the COVID-19 pandemic, CH residents experienced ten-fold greater mortality than age-matched community-dwelling peers (compared with four-to-five-fold pre-pandemic)[3]. Outbreak control measures (including closures) cause distress for residents - many of whom are living with dementia and are nearing end of life[4]. Reflecting this, UK regulations discourage closures to visitors[5], but halting new admissions still carries substantial financial and reputational ramifications for care providers.
| Type: | Article |
|---|---|
| Title: | The Hidden Iceberg: Can Wastewater Transform Infection Surveillance and Prevention in Care Homes? |
| Location: | England |
| DOI: | 10.1016/j.jhin.2025.09.022 |
| Publisher version: | https://doi.org/10.1016/j.jhin.2025.09.022 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10216644 |
Archive Staff Only
 |
View Item |
